Individual provider Active NPI

Lori Virginia Augostini, NP

  • Nurse Practitioner
  • Cohoes, NY
National Provider Identifier
1104141803
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
401589 Issued in NY
Practice address
21 Page Avenue
CDPC- Page Avenue Clinic
Cohoes, NY 12047
Phone
(518) 235-5059
Fax
(518) 235-5029
NPI assigned
Apr 6, 2010
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 401589 NY Primary
Mental Health Counselor 101YM0800X NY

Addresses

Primary practice location

21 Page Avenue
CDPC- Page Avenue Clinic
Cohoes, NY 12047

Mailing address

21 Page Avenue
Cohoes, NY 12047
Phone (518) 235-5059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603001743 NY Order and Referring Only - PsychiatryPractitioner - Psychiatry 1658813910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1104141803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PAGE AVENUE",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "12047",
            "telephone_number": "518-235-5059",
            "fax_number": "518-235-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PAGE AVENUE",
            "address_2": "CDPC- PAGE AVENUE CLINIC",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "12047",
            "telephone_number": "518-235-5059",
            "fax_number": "518-235-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGOSTINI",
        "first_name": "LORI",
        "middle_name": "VIRGINIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "401589",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.